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It is the purpose of this paper to urge the importance and value of conservatism in the treatment of lachrymal obstruction. The ophthalmic surgeon meets with no more numerous, annoying or persistent class of affections than those involving the lachrymal apparatus, especially that part constituting the drainage system. Pathologic processes affecting any portion of this delicate apparatus lead to a partial or complete closure of its lumen and thus obstruct the flow of tears from the eye into the nose. The symptoms of lachrymal retention and the secondary consequences are too well known to require any extensive recital. It should however be borne in mind that the ocular affections which often precede or cause the disease of the lachrymal passages, become chronic and persist against all measures of treatment by virtue of the evil results of the retained tears, thus constituting a vicious circle, to be broken only by the
RISLEY SD. THE CONSERVATIVE TREATMENT OF EPIPHORA AND AFFECTIONS OF THE LACHRYMAL APPARATUS. JAMA. 1898;XXXI(14):780–782. doi:10.1001/jama.1898.92450140034001o
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